12 Telecare and telehealth for independent living Telecare: provision of care remotely by ICT Emergency alarms (also called social alarms) for fire, burglary, flood, health This conditions is provided typically by social care systems Access control of demented subjects Telehealth: enabling a clinical process to be conducted remotely Remote monitoring of vital signs This is provided typically by health care systems Optimally, telecare Technical and telehealth systems solutions may be should integrated be integrated but desicion making care provisioning payment models are typically not (in many countries)!

13 MAKING HEALTH IT HAPPEN Four Pillar Framework 1)An actor network that develops the solution and evolves over time; 2)A health ICT application that is developed by the actors together with the services and other changes needed in health service delivery; 3)Acquiring proof or evidence of the value of the health ICT application; and 4) Positioning of the health ICT application in the value production network and integrating it with the other ICT applications according to need. Saranummi N, Korhonen I, Kivisaari S, Ahjopalo H. A framework for developing distributed ICT applications for health. In: Proceedings of the 1st Distributed Diagnosis and Home Healthcare (D2H2) Conference, Arlington, Virginia, USA, April 2-4, pp Making it Happen for phealth - Challenges SERVICES & BUSINESS PLAN Positioning of the product in solution provision chain of service and technology providers Producing evidence of value of the product to users and payers Services create needs for new technology products Services Technologies enable new services Technologies TECHNOLOGY Sensors & Information appliances Making sense of the collected data in context Making patient data available ubiquitously (EHR)

14 Introduction of new ICT services for disease and health management Current DM&HM Infrastructure Motivation Evidence Societal issues Revolution OR Evolution Vision of future DM&HM Conclusions Technology will increasingly be providing methods for monitoring and management of health and health risks these methods may be used for promotion, prevention,... Examples: wearable health monitoring, smart homes... Citizen will be increasingly interested in their health ( their willingness to contribute truly is a matter of debate) + needs for new solutions are needed (cost crisis in health care) This creates a rapidly increasing market There is a true potential in technology to have an effect but Services need to match co-development Proof may be hard to catch (in terms of EBM) Device-based approach will still dominate in near future system-based (incl. services) innovations are penetrating slowly due to immature partnerships, incomplete value networks, and chicken-egg problem

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